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813-780-0020 City of Zephyfiills Permit Application Fax-813-780-0021 <br /> Building Departrnent <br /> Date Rec�ived r�0'�'Y phone Contact for Permittin _ <br /> Owner's Name ��5� �R✓ f�52. Owner Phone Number <br /> Owner's Address ��3� In�`�� � r✓S� L iU Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J �j 3 3 (D�' �"� Z rl c j�5 r-� <br /> LOT# <br /> SUBDIV1510N PARCEL ID# �I-2� r Z I-00�V -v(o y0 d - a o� j <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN �] Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK � C r�J7' � � �/ 3 � �-G� /,lq �- ��2Iv�<; <br /> BUILDING SIZE � 3Q FOOTAGE 2 �S HEIGHT <br /> QBUILDING $ C(�i/U VALUATION OF TOTAL CONSTRUCTION <br /> / r5 7 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL iNSTALLATION <br /> .�l z� �3 <br /> OGAS � ROOFING Q SPECIALTY C] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# �— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r— <br /> OTHER �e��i _ COMPANY . C qT,r Q[kC.�tG�1s, J2csa{-jK <br /> SIGNATURE <d` REGISTERED Y/ N FEE CURRE� /N <br /> Address 3b D 5���-- ��d ifc//y� �y,, {971h F� License# �LCC,or�5,� 7 -� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliGes&1 dumpster;Site Work Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcdon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sto►mwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """'PROPERTY SURVEY required for all NEW constructlon. <br /> DirecNons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over s2500,a Notice of Commencement is required. (AIC upgrades over ST500) <br />'" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />